Provider Demographics
NPI:1861071839
Name:ABRAMS, SARA KRIS (LPC)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:KRIS
Last Name:ABRAMS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 178
Mailing Address - Street 2:
Mailing Address - City:MANCOS
Mailing Address - State:CO
Mailing Address - Zip Code:81328-0178
Mailing Address - Country:US
Mailing Address - Phone:970-403-5018
Mailing Address - Fax:
Practice Address - Street 1:6766 ROAD 40
Practice Address - Street 2:
Practice Address - City:MANCOS
Practice Address - State:CO
Practice Address - Zip Code:81328-9348
Practice Address - Country:US
Practice Address - Phone:970-403-5018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-06
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0014532101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health